Firm Offeror Letter & Conflict of Interest Disclosure.pdf

IFB # C000992 Alcohol Price Posting Delinquency Management Attachment 2 – Firm Offer Letter

[TO BE COMPLETED ON OFFEROR’S LETTERHEAD]

August 25, 2026

Roel Pena Contract Management Specialist NYS Information Technology Services - VSMO Swan Street Building, Core 4, Rm 2404 Albany, NY 12223

Dear Roel Pena:

RE: IFB C000992 Alcohol Price Posting Delinquency Management

Firm Offer to the State of New York and Conflict of Interest Disclosure

[INSERT OFFEROR NAME] hereby submits this firm and binding offer to the State of New York in response to New York State IFB# C000992 by the New York State Office of Information Technology. The Bid Proposal hereby submitted meets or exceeds all terms, conditions, and requirements set forth in the above-referenced IFB. This formal offer will remain firm and non-revocable for a minimum period of 180 days from the date proposals are due to be received by the State, or until a Contract is approved by the NYS Comptroller and executed by the State.

[INSERT OFFEROR NAME]’s complete bid proposal (Administrative & Financial Bid) is set forth in one (1) electronic mail Offeror submission.

Administrative/Financial Proposal: Offeror must submit two (2) electronic copies of the proposal documents saved as searchable Microsoft Word, Excel, and/or Adobe Acrobat formats, with the Administrative Proposal and Financial Proposal clearly separated from each other (the Administrative Proposal must contain no information regarding the Offeror’s Financial Proposal).

[INSERT OFFEROR NAME] hereby affirms that the solution proposed by the Offeror in the Bid Proposal meets or exceeds the service level requirements (if any) set forth in the above-referenced IFB, including referenced attachments.

[INSERT OFFEROR NAME] hereby affirms that, at the time of bid submission, Offeror knows of no factors existing at time of bid submission or which are anticipated to arise during the procurement or Contract term, which would constitute a potential conflict of interest in successfully meeting the contractual obligations set forth in the above-referenced IFB and the Bid Proposal hereby submitted, including but not limited to:

1. No potential for conflict of interest on the part of the Offeror or any Subcontractor due to prior, current, or proposed contracts, engagements, or affiliations; and

2. No potential conflicts in the sequence or timing of the proposed award under this procurement relative to the timeframe for service delivery, or personnel or financial resource commitments of Offeror or proposed subcontractors to other projects.

IFB # C000992 Alcohol Price Posting Delinquency Management Attachment 2 – Firm Offer Letter

To comply with the Vendor Responsibility Requirements outlined in Appendix C, Section 38 of the above-referenced IFB, C000992 Alcohol Price Posting Delinquency Management, hereby affirms that (enter an “X” in the appropriate box):

☐ An on-line (preferred) Vendor Responsibility Questionnaire has been updated or created within the last six months, at the Office of the State Comptroller’s website:

https://www.osc.ny.gov/state-vendors/vendrep/file-your-vendor-responsibility-questionnaire

☐ The Vendor Responsibility Questionnaire must be included in this proposal and is dated within the last six months.

☐ A Vendor Responsibility Questionnaire is not required due to an exempt status. Exemptions include governmental agencies, public authorities, public colleges and universities, public benefit corporations, and Indian Nations.

By signing, the undersigned individual affirms and represents that he has the legal authority and capacity to sign and make this offer on behalf of and has signed using that authority to legally bind [INSERT OFFEROR NAME] to the offer and possesses the legal capacity to act on behalf of Offeror to execute a Contract with the State of New York. The aforementioned legal authority and capacity of the undersigned individual is affirmed by the enclosed Resolution of the Corporate Board of Directors of [INSERT OFFEROR NAME].

Signature

[INSERT OFFEROR NAME]

[INSERT TITLE]

[INSERT COMPANY NAME]

Corporate Seal https://www.osc.ny.gov/state-vendors/vendrep/file-your-vendor-responsibility-questionnaire

IFB # C000992 Alcohol Price Posting Delinquency Management Attachment 2 – Firm Offer Letter

Name of Company Bidding:

Offeror Firm's Federal Tax Identification No.:

Street City

State Zip County Country

Contact Name:

Title:

Phone: ( ) - ext ( )

Fax : ( ) - ext ( )

Toll Free Phone: ( ) - ext ( )

Toll Free Fax : ( ) - ext ( )

E-mail Address:

Company Web Site:

Offeror Firm’s NYS Statewide Financial System Supplier Identification Number, if known:

IFB # C000992 Alcohol Price Posting Delinquency Management Attachment 2 – Firm Offer Letter

CORPORATE ACKNOWLEDGMENT

STATE OF }

:ss.:

COUNTY OF }

On the _____________ day of ______________________in the year 202__ , before me personally came: _______________________________________________________________, to me known, who, being by me duly sworn, did depose and say that he/she/they reside(s) in __________________________________________________________________; that he/she/they is (are) _____________________________________________ (the President or other officer or director or attorney in fact duly appointed) of ________________________________________________________________________, the corporation described in and which executed the above instrument; and that he/she/they signed his/her/their name(s) thereto by authority of the board of directors of said corporation.

Signature and Office of Person Taking Acknowledgment

PARTNERSHIP ACKNOWLEDGMENT

:ss.:

COUNTY OF }

On the _____________ day of __________ in the year 202__, before me personally came:

_______________________________________ to me known, who, being by me duly sworn, did depose and say that he reside(s) in __________________________________________________________________; that he is _____________________________________________ (the General/Managing Partner or other officer or attorney in fact duly appointed) of ____________________________________________, the partnership described in said instrument; that, by the terms of said partnership, _he is authorized to execute the foregoing instrument on behalf of the partnership for the purposes set forth therein; and that, pursuant to that authority, _he executed the foregoing instrument in the name and on behalf of said partnership as the act and deed of said partnership.

Signature and Office of Person Taking Acknowledgment

INDIVIDUAL ACKNOWLEDGEMENT

:ss.:

COUNTY OF }

On the ____ day of ___________________in the year 202__ , before me personally appeared: ____________________________________________________________, known to me to be the person who executed the foregoing instrument, who, being duly sworn by me did depose and say that _he resides at _______________________________________________, Town of

County of _____________________ , State of ____________________ ; and that _he executed the foregoing instrument in his/her name and on his/her own behalf.

Notary Public